{% extends "index.html" %}

{% block site_header%}

	<div id="site_header_contact"></div>
{% endblock %}

{% block content%}
	<div id="content">
		<div id="contact">
			<h2 id="title" style="padding: 15px 10px; margin: 0px; color: #00295F; font-size: 20px;">Get A Quote</h2>
			<form method="post" action="">
				<div id="quote_form">
					{% for field in quote_form %}
					    <div class="field {% if field.field.required %}required{% endif %} field-name-{{field.name}}">
					    {% if field.is_hidden %}
					        {{ field.as_hidden }}
					    {% else %}
					        {{ field.label_tag }}
					        {{ field.as_widget }}
					        {% if field.errors %}
					            <ul class="errorlist">
					                {% for error in field.errors %}<li>{% if forloop.first %}&uarr;{% endif %} {{ error }}</li>{% endfor %}
					            </ul>
					        {% endif %}
					        {% if field.help_text %}
					            <div id=help_text>{{ field.help_text }}</div>
					        {% endif %}
					    {% endif %}
					    </div>
					{% endfor %}
					<div style="width : 100%; text-align: center;"><input type="submit" id="submit_button" name="submit" value="Request Quote"/></div>
				</div>
				<div id="contact-box">
					<ul>Contact Me Directly
						<li>Email: kdibaba@gmail.com</li>
						<li>Phone: 857-342-2225</li>
					</ul>
					<div id=help_text style="padding:40px 15px;">* I am not available to answer the phone during business hours</div>
				</div>
			</form>
		</div>
	</div>
{% endblock %}				